| Paul Jonathan Dirkse, | |
|
14949 62nd St N, Stillwater, MN 55082-6132 | |
| (651) 275-7400 | |
| (651) 275-7401 |
| Full Name | Paul Jonathan Dirkse |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 14949 62nd St N, Stillwater, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205395613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 23459 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Jonathan Dirkse, 14949 62nd St N, Stillwater, MN 55082-6132 Ph: (651) 275-7400 | Paul Jonathan Dirkse, 14949 62nd St N, Stillwater, MN 55082-6132 Ph: (651) 275-7400 |
Jody Kay Dunlap, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 Fax: 651-439-4894 | |
Anne Christine Gettle, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 | |
Linda Sue Reinhardt-sondrall, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6120 Oren Ave N, Stillwater, MN 55082 Phone: 651-430-0888 Fax: 651-430-0889 | |
Ms. Heidi Mae Presslein, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 228 Chestnut St E, Stillwater, MN 55082 Phone: 651-275-0441 Fax: 651-430-3699 | |
Sarah Glendenning Saldin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 Fax: 651-439-4894 | |
Ms. Mary Elizabeth Wilkening, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1875 Northwestern Ave S, Stillwater, MN 55082 Phone: 651-439-4840 Fax: 651-439-4894 |